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Total Versus Subtotal Hysterectomy:a Randomised, Prospective Multicentre Study of the Effect on Urinary, Sexual and Bowel Function

This study has been completed.
Information provided by:
St George's Healthcare NHS Trust Identifier:
First received: September 9, 2008
Last updated: October 23, 2008
Last verified: September 2008


It is uncertain whether subtotal abdominal hysterectomy results in better bladder, bowel, or sexual function than total abdominal hysterectomy.


The investigators conducted a randomized, double-blind trial comparing total and subtotal abdominal hysterectomy in 279 women referred for hysterectomy because of benign disease; most of the women were premenopausal. The main outcomes were measures of bladder, bowel, and sexual function at 12 months. The investigators also evaluated postoperative complications.

Condition Intervention
Procedure: Total abdominal hysterectomy
Procedure: Subtotal abdominal hysterectomy

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Participant, Investigator)
Primary Purpose: Treatment

Resource links provided by NLM:

Further study details as provided by St George's Healthcare NHS Trust:

Primary Outcome Measures:
  • Main outcome measure was stress incontinence [ Time Frame: Completed ]

Secondary Outcome Measures:
  • Quality of life [ Time Frame: Completed ]

Enrollment: 279
Study Start Date: January 1996
Study Completion Date: April 2000
Primary Completion Date: April 2000 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1
total abdominal hysterectomy and
Procedure: Total abdominal hysterectomy
Total abdominal hysterectomy and Subtotal abdominal hysterectomy
Experimental: 2
Subtotal hysterectomy
Procedure: Subtotal abdominal hysterectomy


Ages Eligible for Study:   18 Years to 60 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Women having abdominal hysterectomy for benign conditions of the uterus

Exclusion Criteria:

  • Suspected cancer
  • A body weight that exceeded 100 kg
  • Previous pelvic surgery
  • Known endometriosis
  • Abnormal cervical smears,
  • Symptomatic uterine prolapse
  • Symptomatic urinary incontinence
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Please refer to this study by its identifier: NCT00750035

United Kingdom
St George's Healthcare NHS Trust
London, United Kingdom, SW17 0QT
Sponsors and Collaborators
St George's Healthcare NHS Trust
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Ranee Thakar, St George's Healthcare NHS Trust Identifier: NCT00750035     History of Changes
Other Study ID Numbers: 95.59.14
Study First Received: September 9, 2008
Last Updated: October 23, 2008

Keywords provided by St George's Healthcare NHS Trust:
Total hysterectomy
subtotal hysterectomy
urinary function
bowel function
sexual function
Quality of life
Psychological function processed this record on May 22, 2017